Download - IEEE ICIA 2017 Registration Form Regular
IEEEICIA2017ConferenceRegistrationFormI.PersonalInformation
PaperNumber(s): / FamilyName: GivenName: Preferred Title: Dr./Prof./Mr./Miss/Ms. Affiliation: MailingAddress:
Country: E-mail: Mobile#:
IEEE Membership Number: StudentNumber(studentonly):
II.RegistrationFees:CoveringonecopyofU-DiskProceedingsandaccesstobanquetandallconferencesessions&activities. Items AdvanceRegistrationbyJune10,2017 RegularRegistrationafterJune10,2017 PaymentAmount
A IEEEmember: HK$4680/US$600/RMB￥4080 HK$5460/US$700/RMB￥4760
B Non-member: HK$5460/US$700/RMB￥4760 HK$6240/US$800/RMB￥5440
C IEEEstudentmember: HK$3900/US$500/RMB￥3400 HK$4680/US$600/RMB￥4080
D Non-memberstudent: HK$4680/US$600/RMB￥4080 HK$5460/US$700/RMB￥4760
E Extraproceedings: No.ofextraU-DiskProceedings_____✕HK$390/US$50/RMB￥340=
F Extrapagefee: No.ofextrapagesbeyond6pagesperpaper_____✕HK$780/US$100/RMB￥680=
G Extrapaperfee: 2ndpaper(#________)ofthesameAorBauthoratHK$2340/US$300/RMB￥2040=
H Extrabanquetticket: No.ofextrabanquettickets______✕HK$780/US$100/RMB￥680=
I Exhibitorregistration: HK$23,000/US$3,000/RMB￥20,000=
Totalregistrationandextrapurchasepaymentamount(AorBorCorDorI)+E+F+G+H=
III.PaymentOptions:ThetotalpaymentcalculatedinitemIIabovecanbemadeinoneofthefollowingmethods:
1.CreditCardPayment:Pleaseuseon-linepaymentviaPayPal,EnteryourPayPalaccountpayername:___________________
2.On-LineRegistrationPaymentCompletedviaPayPal: q EnteryourPayPalaccountpayername:___________________
3. Money Wire Transfer Payment: Please add the total registration payment calculated in item II and makewire transferpayment toHSBCHongKongBank (Swift code:HSBCHKHHHKH),DesVoeuxRoadCentral Branch,at the following address:China Insurance Group Building, 141 Des Voeux Road Central, Hong Kong, with Account Number = 400-407433-838 andaccountholder=SuperEliteEventsLimitedandthenemailyourpaymentproofandyourcompletedregistrationformtotheconferencesecretariatemailatthebottomofthispagebyJune10,2017totakeadvantageoftheadvanceregistrationfeerates.PleaseindicateIEEEICIA2017,thenameofthe1stauthorofthepaper,andthepapernumber(s)onthebankwiretransferpaymentdocument.
IV.ImportantInformation:ü Eachfinalpapersubmissionmustbeaccompaniedbyapaidregistrationforinclusionintheconferenceprogram&proceedings.ü Eachregularorstudentregistration(A,B,C,orDabove)coversonepaperofthesameauthorwhohaspaidfortheregistration.ü Eachauthorwhopaidfortheregularregistration(AorB)cancoveronemorepaperofthesameauthorviaextra2ndpaperfee.ü Eachstudentregistration(CorD)mustbeaccompaniedbyproofofcurrentfull-timestudentstatusviastudentIDoraletter.ü Completedregistrationformwithregistrationpaymentproof,andstudentstatusproofifapplicablemustbesentviaemailtothe
[email protected] completeyourconferenceregistration.ü ForanyquestionsaboutIEEEICIA2017conference&conferenceregistration,pleasecontacttheconferencesecretariatat:
E-mail:[email protected];Tel:+8613713500061PayPalon-linepaymentweblink:Pleaseclickon“Registration”attheconferencewebsite:http://2017.ieee-icia.org
